Re: tri-amniotic, tri-chorionic pregnancy with fetal malformations

From: Novakov (novakov@EUnet.yu)
Sun Jan 13 07:06:14 2002


Dear Recep, yes I would suggest both of the procedures, since that would minimize the possibilities of the third, normal fetus to be born prematurely, BUT ONLY if you are absolutely sure it is TRICHORIONIC pregnancy. Aleksandra

>----- Original Message -----
From: recephas <recephas@superonline.com> To: Multiple recipients of list ULTRASOUND <ultrasound@mail.medispecialty.com> Sent: Sunday, January 13, 2002 11:16 Subject: tri-amniotic, tri-chorionic pregnancy with fetal malformations

>
> Dear colleagues,
>
> I have detected a tri-amnitic, tri-chorionic 30 week pregnancy, yesterday.
>
> 1. One of the fetusses was anencephalic, and had severe polihydramnios.
> 2. Second fetus had spina bifida and "banana sign" and mild
> ventriculomegaly. This fetus also had IUGR, and its' measures consistent
> with 26 weeks of gestation.
> 3.Third fetus seemed healthy.
>
> What is your suggestions for menagement of this pregnancy?
> 1. Do you offer fetocid for the second fetus?
> 2. Do you suggest amnioreduction for polyhydramnios?
>
> Thank you for your interest.
>
> Recep Has, MD.
> University of Istanbul
> Faculty of Medicine
> Department of Obstetrics and Gynecology
>




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